MEDICARE: RAYLYN CABRERA GOMEZ LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	129060	NY

General Provider Information

NPI Number	:	1679419618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAYLYN CABRERA GOMEZ LMSW

Provider Business Mailing Address
First Line	:	1 HOLLOW LN STE 301
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11042-1215
Country	:	US
Telephone Number	:	315-308-0746
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 HOLLOW LN STE 301
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11042-1215
Country	:	US
Telephone Number	:	315-308-0746
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2026
Last Update Date	:	05/27/2026

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